Individual
DR. DONNA LEE CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1000 N ST, SANGER, CA 93657-3120
(559) 875-1112
(559) 875-1013
Mailing address
1000 N ST, SANGER, CA 93657-3120
(559) 875-1112
(559) 875-1013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA9522T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0095220
—
CA
Enumeration date
11/17/2006
Last updated
02/27/2014
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